Exam Name___________________________________

MULTIPLECHOICE.Choosetheonealternativethatbestcompletesthestatementoranswersthequestion. 1) Mr.Hinkleyisa46-year-oldwithahistoryofpancreatitis.Hehashadabdominalpainand vomitingfor24hours.TheEDphysicianrequeststhatyouinitiateanIVforrehydration.Youwill beusinga15gtt/mlinfusionsettoadminister250mlof5%dextroseinNSperhour.Whatdrip rate(atgtt/minute)isneededtodeliverthefluidsatthisrate? A) 100 B) 41 C) 63 D) 75 2) Whichofthefollowingisappropriateforasubcutaneousinjectionofmedication? A) 18gauge,3/4needle B) Insertionoftheneedleata90-degreeangle C) Upto2mLofmedication D) Volumeof1mLorless 3) Whichofthefollowingisconsideredasiteofcentralvenousaccess? A) Femoralvein B) Saphenousvein C) Mediancephalicvein D) Externaljugularvein 4) WhichofthefollowingwouldNOTbeappropriateforintradermaldrugadministration? A) 27gauge,3/8needle B) 25gauge,1needle C) 20gauge,3/4needle D) 25gauge,3/4needle 5) Themaximumvolumeofmedicationtobedeliveredintothedeltoidmuscleis________mL. A) 3 B) 1 C) 5 D) 2 6) Mrs.Bertrandishavingacholecystectomythisevening.Topreventdehydration,sheistoreceive 5%dextrosein0.45%salinesolutionatarateof150mL/hour.Using20gtt/mltubing,whatisthe driprateingtt/minute? A) 60 B) 50 C) 150 D) 75 7) Oneteaspoonofmedicationequals________mL. A) 5 B) 10 1)

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8) ShortlyafterstartinganIVonyourpatient,younotethattheIVisnotdripping.Youhave removedtheconstrictingband,andalltheclampsonthetubingareopen.Younotethatthereis minorswellingaroundthevenipuncturesite.Thereisnodiscolorationofthesite,butitiscooland firmtothetouch.Whichofthefollowingmostlikelyaccountsforyourfindings? A) Thetipofthecatheterisoccludedbyabloodclot. B) Thesitehasbecomeinfected. C) FluidsextravasatedintothetissuesurroundingtheIVsite. D) Thetipofthecatheterisoccludedbyavalveinthevein.

9) Whichofthefollowingsolutionsisappropriateforthepatientneedingvascularvolume replacementintheprehospitalsetting? A) 5%dextroseinwater B) Dextran40 C) 0.9%sodiumchloridesolution D) 0.45%sodiumchlorideand5%dextroseinwater 10) Ms.Krinklebineisexperiencingrightlowerquadrantpainfollowingasyncopalepisode.She reportsherlastmenstrualperiod(LMP)wasabout6weeksago.Whilesheisawaitingan abdominalCT,thesurgeryresidentasksthatyouinitiateanIVoflactatedRingerssolutionusing abloodset(10gtt/mL)andinfuse1,000mlover1hour.Whatdriprate(ingtt/minute)willyouuse toattainthisrateofadministration? A) 67 B) 600 C) 17 D) 167 11) Yourprotocolscallforadopamineinfusionbeginningat5microgramsperkilogramperminute. YouestimatethatMrs.Lincolnweighs190lbs.Usingastandarddopamineconcentrationof800 mgin500mL,atwhatdriprate(ingtt/minute)willyouneedtoadministertheinfusionusing microdriptubing? A) 16 B) 4 C) 432 D) 27 12) Intowhichofthefollowingcontainerswoulditbenecessarytoinjectavolumeofairequaltothe intendedvolumeofmedicationbeforewithdrawingthemedicationwithaneedleandsyringe? A) Nebule B) Ampule C) Vial D) Prefilledsyringe 13) Havingapatientswallowatabletofmedicationwithadrinkofwaterisanexampleofwhich routeofmedicationadministration? A) Aural B) Oral C) Buccal D) Sublingual 14) Aplasticorglasscontainerwithaself-sealingrubbertopisknownasa(n): A) prefilledsyringe. B) blisterpak. C) ampule. D) vial. 15) Justasyouarearrivingattheemergencydepartmentbay,yourpatient,onwhomyoustartedan IVatthescene,complainsofsuddenchills,backpain,andnausea.Thepatientappearsflushed, andhisskinishotandmoisttothetouch.Whichofthefollowingmostlikelyaccountsforyour patientspresentation? A) Pyrogenicreaction B) Circulatoryoverload C) Pulmonarythromboembolism D) Anaphylaxis 16) Whichofthefollowingcatheterswouldallowthegreatestvolumeoffluidtobedeliveredina givenperiod? A) 16gauge,11/4 B) 16gauge,2 C) 14gauge,2 D) 14gauge,11/4 17) Whichofthefollowingistheappropriatemethodforpreparingasiteforvenipunctureor injection? A) Useofadisinfectant B) Useofasanitizer C) Useofanantiseptic D) Chemicalsterilization

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18) WhichofthefollowingveinsisNOTasiteofperipheralvenousaccess? A) Medianbasilic B) Saphenous C) Subclavian D) Externaljugular 19) Administrationofamedicationtotherighteyewouldbedocumentedmedicallyas: A) o.g. B) o.d. C) o.u. D) o.s. 20) Whichofthefollowingisadisadvantageofpulmonarydrugadministrationvianebulizeror metereddoseinhaler? A) Pulmonaryabsorptionisaslowroutefordrugadministration. B) Sideeffectsaremorelikelywithpulmonarydrugadministration. C) Itrequiresthatthepatienthaveadequateventilation. D) Itrequiresalargerdosethanotherroutes. 21) Whichofthefollowingisadisadvantagetointravascularvolumereplacementwithisotonic crystalloidsolutions? A) Thereisanimmediateshiftofvascularvolumetotheinterstitialspace. B) Intracellularfluidshiftstothevascularspace. C) Sodiumshiftsintocellsandpotassiumshiftsoutofcells. D) Two-thirdsofthevolumeleavestheintravascularspacewithin1hour. 22) Whatisthepreferredaccesssiteforintraosseousinfusioninbothpediatricandadultpatients? A) Distaltibia B) Proximalhumerus C) Proximaltibia D) Distalfemur 23) Whenpreparingforvenipuncture,aconstrictingbandshouldbeappliedtightenoughtorestrict ________flow. B) arterialbutnotvenous A) botharterialandvenous C) venousbutnotarterial D) neitherarterialandvenous 24) Whichofthefollowingintravenoussolutionswouldremaininthevascularsystemthelongest? A) LactatedRingerssolution B) Plasmanate C) 0.9%sodiumchloride D) 5%dextroseinwater 25) Bywhichofthefollowingrouteswillmedicationhavethequickestonsetofaction? A) Subcutaneous B) Intramuscular C) Oral D) Intradermal

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AnswerKey Testname:VOLUME1CH10

1) C 2) D 3) A 4) C 5) D 6) B 7) A 8) C 9) C 10) D 11) A 12) C 13) B 14) D 15) A 16) D 17) C 18) C 19) B 20) C 21) D 22) C 23) C 24) B 25) B